New Hampshire NH
BanHB 377 (Chapter 275, 2025) prohibits puberty blockers and cross-sex hormones for minors from 1 January 2026, with continuation for treatment begun earlier; HB 619 (2024) covers surgery.
Last verified: 13 Oct 2026
Medical care for minorsBan
HB 377 (Chapter 275, 2025) prohibits puberty blockers and cross-sex hormones for minors from 1 January 2026, with continuation for treatment begun earlier; HB 619 (2024) covers surgery.
HB 377 (Ch. 275, 2025); HB 619 (2024)
Medicaid and CHIPFederal funding ended (minors)
State Medicaid policy covers gender-transition procedures; federal funding for minors ended under the 2026 CMS rule. A federal CMS final rule (13 Aug 2026) prohibits federal Medicaid and CHIP funding for these procedures for patients under 18 (Medicaid) and under 19 (CHIP).
42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406)
State employee coverageCovers
State employee health plans explicitly cover gender-transition procedures.
New Hampshire state-employee health plan document (das.nh.gov)
SportsSex-based
State law requires school athletic teams designated for girls or women to be limited to students of the female sex (K-12 and higher education). The court challenge was dismissed on 8 July 2026, so the law applies to all students.
HB1205
FacilitiesNo state law
No state law requires restrooms or changing facilities to be used according to biological sex.
No state law identified (statute review, Oct 2026)
Pronouns and parent noticeParental-rights law (no specific notice rule)
State parental-rights law requires schools to keep parents informed about changes in a student's health or well-being; it has no provision specific to gender identity.
HB1312
CurriculumParental opt-out
State law requires parental notice of instruction on sexual orientation or gender identity and allows parents to opt their child out.
New Hampshire HB1312
Definition of sexNo state law
No state statute defines sex in biological terms across state law.
No state law identified (statute review, Oct 2026)
Identity documentsBirth-certificate process unclear (court order)
Birth-certificate process unclear (court order); driver's licence sex changed by self-declaration. 'X' marker offered.
New Hampshire birth-certificate / ID rule (nh.gov)
Shield lawNone
No shield statute identified.
No shield statute identified
AdultsNo state law
No state law restricts adult access to, or public funding of, gender-transition procedures.
No state law identified (statute review, Oct 2026)
Detransition20 years after turning 18
PrisonsCase-by-case
Pending billsNo active bills
No active bills (checked 13 Oct 2026). The 2026 regular session has adjourned (or the legislature does not meet in 2026), so 2025-26 bills are no longer moving. LegiScan search linked.
LegiScan search, checked 13 Oct 2026 (adjourned legislature)
LitigationResolved
Tirrell v. Edelblut: the challenge to HB 1205 (school sports) was dismissed with prejudice on 8 July 2026, so the law applies to all students.
Tirrell v. Edelblut, No. 1:24-cv-251 (D.N.H.), stipulation of dismissal (8 Jul 2026)
Key datesDate
1 Jan 2026: medication ban took effect.
HB377 — CHAPTERED FINAL VERSION - NH General Court (gencourt.state.nh.us)
Sources
- HB 377 (Ch. 275, 2025); HB 619 (2024) →
- 42 C.F.R. 441.800–802, 457.476 (91 Fed. Reg. 52406) →
- HB619 →
- New Hampshire state-employee health plan document (das.nh.gov) →
- HB1205 →
- HB1312 →
- New Hampshire HB1312 →
- New Hampshire birth-certificate / ID rule (nh.gov) →
- HB 619 (2024) →
- NHDOC PPD 6.85 →
- LegiScan search, checked 13 Oct 2026 (adjourned legislature) →
- Tirrell v. Edelblut, No. 1:24-cv-251 (D.N.H.), stipulation of dismissal (8 Jul 2026) →